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Organization

THE MIRIAM HOSPITAL

Active
Parent organization
LIFESPAN CORPORATION
Other names
Womens Medicine Collaborative
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
MR. PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization

Contact information

Practice address
146 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 793-3215
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HOS00122
RI

Other

Enumeration date
06/08/2011
Last updated
12/11/2025
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